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Agreement between clinical and non-clinical digital manometer for assessing maximal respiratory pressures in healthy subjects

机译:临床和非临床数字压力计之间的协议用于评估健康受试者的最大呼吸压力

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摘要

Measurement of respiratory muscles strength such as maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP) are used to detect, diagnose and treat respiratory weakness. However, devices used for these measurements are not widely available and are costly. Currently, the use of a digital manometer is recommended. In industry, several inexpensive devices are available, but these have not been validated for clinical use. Our objective was to determine the agreement between maximal respiratory pressures obtained with a clinical digital manometer and that with a non-clinical digital manometer in healthy volunteers. We assessed the height, weight, lung function, MIP, and MEP of healthy volunteers. To compare pressures obtained by each type of digital manometer, a parallel approach configuration was used. The agreement was measured with the Intraclass Coefficient Correlation (ICC) and the Bland-Altman plot. Twenty-seven participants (14 men) were recruited with a median age of 22 (range: 21–23) years. Each participant underwent three measurements to give a total of 81 measurements. The mean MIPs were 90.8 ± 26.4 (SEM 2.9) and 91.1 ± 26.4 (SEM 2.9) cmH2O for the clinical and non-clinical digital manometers, respectively. The mean MEPs were 113.8 ± 40.4 (SEM 4.5) and 114.5 ± 40.5 (SEM 4.5) cmH2O for the clinical and non-clinical digital manometers, respectively. We obtained an ICC of 0.998 (IC 0.997–0.999) for MIP and 0.999 (IC 0.998–0.999) for MEP. There is a high agreement in the values obtained for MIP and MEP between clinical and non-clinical digital manometers in healthy volunteers. Further validation at lower pressures and safety profiling among human subjects is needed.
机译:呼吸肌力量的测量(例如最大吸气压力(MIP)和最大呼气压力(MEP))用于检测,诊断和治疗呼吸衰弱。然而,用于这些测量的设备并不广泛可用并且价格昂贵。当前,建议使用数字压力计。在工业上,可以使用几种便宜的设备,但是这些设备尚未经过临床验证。我们的目标是确定健康志愿者使用临床数字压力计获得的最大呼吸压力与非临床数字压力表获得的最大呼吸压力之间的一致性。我们评估了健康志愿者的身高,体重,肺功能,MIP和MEP。为了比较每种数字压力计获得的压力,使用了并行方法配置。使用类内系数相关性(ICC)和Bland-Altman图测量一致性。招募了27名参与者(14名男性),中位年龄为22岁(范围:21-23岁)。每个参与者进行了三项测量,总共给出了81次测量。临床和非临床数字压力计的平均MIP分别为90.8±26.4(SEM 2.9)和91.1±26.4(SEM 2.9)cmH2O。临床和非临床数字压力计的平均MEP分别为113.8±40.4(SEM 4.5)和114.5±40.5(SEM 4.5)cmH2O。对于MIP,我们获得的ICC为0.998(IC 0.997-0.999),对于MEP,我们获得的ICC为0.999(IC 0.998-0.999)。在健康志愿者中,临床数字压力计和非临床数字压力计的MIP和MEP值具有很高的一致性。需要在较低压力下进行进一步验证并在人类受试者中进行安全分析。

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